MEDICARE: DR. JASON JOHN BROWN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34.012040	OH
2	207R00000X	Internal Medicine Physician	0102204375	VA
3	207P00000X	Emergency Medicine Physician	0102204375	VA
4	207P00000X	Emergency Medicine Physician	4481609	ID

General Provider Information

NPI Number	:	1912345984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON JOHN BROWN D.O.

Provider Business Mailing Address
First Line	:	262 OAK HILL DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-3419
Country	:	US
Telephone Number	:	614-218-1213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 CLARK ST
Second Line	:
City	:	CAMBRIDGE
State	:	OH
Zip	:	43725-9614
Country	:	US
Telephone Number	:	740-439-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	06/02/2026

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